Applicant:*
Caregiver
Agency
Employer
Other
Name/Agency:*
Contact Person:
( for Agency Members only )
In Business Since:
Address:*
City:*
Postal Code:*
Phone:*
Fax:
Email:
Membership:*
New
Renewal
Member since:
As a member in good standing, I am committed to practice and promote the principles of the organization, provincial employment standards and those federal regulations that are applicable to my role as a member of the Coalition
Fee (CAN$)
Members of the Coalition are expected to abide by all regulations pertinent to their role as Agency, Employer or Caregiver. Any complaints regarding violations must be submitted in writing to the President of the Board, to be reviewed by a committee of Board Members and Regional Representatives. If a complaint is susbstantiated, the member will be asked to withdraw from the Coalition.
